Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/
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European Patient Summary

Patient
Name: Dawiec, Jędrzej
DOB: 08-MAR-1967 (Age: 59)
Gender: male
ID: 8572-547391-3 (ECI)
Author
dr Cyba, Wojciech
Patient summary Document
European Patient Summary
Report Date: 25-NOV-2024

Problem list

Condition Onset Date / Period Status
Metabolic syndrome X 12-Sep-2011 active
Essential hypertension 12-Jun-1995 active
Obstructive sleep apnea syndrome 11-Apr-1994 active
Sleep disorder 23-Mar-1994 active
Anemia 08-Jun-1992 active
Viral sinusitis 05-Dec-2024 - 25-Dec-2024 inactive
Viral sinusitis 16-May-2024 - 01-Jun-2024 inactive
Viral sinusitis 15-Aug-2019 - 05-Sep-2019 inactive

Medication list

Medication Since Form Dosage Reason
Amlodipine (as amlodipine besylate) 2.5 mg oral tablet 2024-11-25 - 1 tablet (2.5 mg) by mouth once daily Essential hypertension (disorder)
Hydrochlorothiazide 25 mg oral tablet 2024-11-25 - 1 tablet (25 mg) by mouth once daily Essential hypertension (disorder)
Lisinopril 10 mg oral tablet 2024-11-25 - 1 tablet (10 mg) by mouth once daily Essential hypertension (disorder)

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 25-Nov-2024
SARS-CoV-2 mRNA vaccine 22-Feb-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 05-Oct-2015
Live attenuated Human alphaherpesvirus 3 only vaccine product 05-Oct-2015

Procedure History list

No known procedures

Allergies and Intolerances

No known allergies or intolerances

Care Plan

Active Planned Care / Goals Start Date Reason
Lifestyle education regarding hypertension 12-Jun-1995 Essential hypertension (disorder)
  • Patient will achieve and maintain blood pressure within target range through lifestyle changes as part of hypertension management.
Care plan 11-Apr-1994 Obstructive sleep apnea syndrome (disorder)
  • Reduce the Apnea-Hypopnea Index (AHI) to less than 5 events per hour
  • Improve overall sleep quality as measured by patient-reported outcomes
  • Reduce daytime sleepiness as measured by the Epworth Sleepiness Scale
  • Achieve CPAP usage of at least 4 hours per night on 70% of nights
Diabetes self management plan 05-Jun-1989 Prediabetes (finding)
  • Lose at least 5% of baseline body weight to reduce risk of progression to diabetes
  • Maintain or reduce HbA1c to less than 5.7%
  • Maintain blood pressure below 130/80 mmHg
  • Engage in at least 150 minutes of moderate-intensity physical activity per week
  • Follow a balanced diet with reduced intake of refined carbohydrates and saturated fats
  • Maintain fasting blood glucose below 100 mg/dL

Vital Signs

Vital Signs 2024-11-25 2023-11-20
Body Height 172.5 cm 172.5 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 4 {score} 3 {score}
Body Weight 81.4 kg 81.4 kg
Body mass index (BMI) [Ratio] 27.4 kg/m2 27.4 kg/m2
Heart rate 70 /min 83 /min
Respiratory rate 14 /min 15 /min
Blood pressure panel with all children optional 80 mm[Hg] 83 mm[Hg]

Relevant diagnostic tests/laboratory data

Recent Lab Observations 25-NOV-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 5.9 4.8 - 5.9 %
Glucose [Mass/volume] in Blood 98.2 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 12.4 7 - 18 mg/dL
Creatinine [Mass/volume] in Blood 0.9 0.6 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 9.9 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 137.9 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.2 H 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 103.0 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 24.1 22 - 29 mmol/L

Device Use

Device Date (since)
Home continuous positive airway pressure unit (physical object) 14-Nov-2022
Respiratory humidifier (physical object) 14-Nov-2022
Blood glucose meter (physical object) 05-Jun-1989